Friday, December 22, 2017

This brings the gift guide to a close, people, along with the year on the blog. I'm shutting down for 2 weeks and will be back on January 8, 2018. Have a great new year and whatever else you celebrate!

Thank you for reading, commenting, emailing, and giving me a reason to keep doing this! It's a lot of fun!
After years of college, medical school, and residency, most doctors are pretty used to eating ramen noodles. It's THE staple food for the student loans crowd.

But it can be so socially awkward. I mean, some people slurp when having ramen. They SLURP! That can be horribly disturbing for those nearby (I mean, in the cases of the < 1% of ramen eaters who are chowing down on it with someone else nearby).

Fortunately, for a measly $130 (the same price as about 1,000 packets of ramen), you can get this:

What is that? What does it do? Why the hell does it cost $130 dollars?

It's a special noise-cancelling fork for eating ramen noodles (really, I am not making this up). Its audio sensors detect when you're slurping your noodles. It then connects to an app on your phone to make noise to cover up the sound.

I'm still not sure why it costs $130, but assume it's all in R&D, and all the ramen noodles packs and starving students that were needed to test it.

Monday, December 18, 2017

The company Andvinyly can press your (or anyone's, or anything's) cremated ashes into a 33 rpm vinyl record!

"Mom? Is that you?"

You can include a recording of your voice (threatening to haunt them forever if they scratch, warp, or donate you to a thrift store) or any favorite music. You can also have a pet turned into an album for those nights when you miss their barking, meowing, or repeatedly asking for a cracker.

Imagine the looks on their faces when they receive such a unique gift and wonder where the hell they're supposed to find a record player in 2017!

Wednesday, December 6, 2017

From around the globe, Dr. Grumpy's crack team of reporters bring you the stories that shape our world.

DATELINE: FLORIDA

Stephen Titland (really, that's his name) attempted to get into several vehicles by going down the street and seeing if any parked cars were unlocked.

He finally found one that wasn't and started to climb in, only to discover sheriff's deputies inside the unmarked vehicle. They'd arrived in the area due to multiple reports of a man (who matched Titland's description) burglarizing cars.

Mr. Titland has been charged with attempted burglary and violating his probation from a previous burglary conviction.

DATELINE: IRELAND

Residents of the village Ringaskiddy have fallen on hard times. There have been multiple solid complaints about men and dogs walking around with, uh, woodies.

Apparently they have a bone to pick with the local Pfizer plant, where Viagra is manufactured. The waste exhaust from the factory reportedly is being carried by a stiff breeze into the surrounding community.

Monday, December 4, 2017

You try getting your teenagers to do it, but, lets' face it, they suck. If you can even pry them out of their rooms for a few minutes, then you have to get their phones out of their hands, and then they start whining that you're ruining their lives and... it just ain't worth it.

You need a different power to clean your floors.

The power... of the dark side.

Fortunately it's not only there, but in a choice of styles, too.

"Luke, I am your vacuum."

The Samsung Powerbot home vacuum promises to not only clean your floors, but randomly play lightsaber sounds, the heavy breathing of the Sith Lord (so you can worry someone broke into your house) and snippets of movie dialogue.

You can control them with voice, the phone app, Amazon Alexa, and Google assistant to convince your technophobic friends that you, indeed, have the power. Better yet, you don't have to deal with your teenagers.

These are the droids you're looking floor.

Disclaimer: I did NOT get paid for this post, and do not own this gadget. I just thought it fit in with the other odd things I feature. I have no idea how well it works. I have a wife, 3 teenagers, and 3 dogs, all smarter than me and have no desire to have household appliances that are, too.

Friday, December 1, 2017

What can you get your favorite alcoholic who thinks the germ theory is a passing fad?

How about this combination beer and wine holder toilet paper dispenser?

Now they don't have to awkwardly leave their liver toxin of choice at the dining table or on the bathroom counter. It can be immediately handy while using the facilities, letting them take a nip (or more) between wipes and helping to spread some horrible diarrheal illness amongst family and friends.

Wednesday, November 22, 2017

People often ask me "How do I find a good doctor?"That's a tough question, and it can be tricky. So here are a few tips to warn you that your doctor may not be real. Any one of these (not to mention ALL of them, FFS) should alert you to look for another doctor. 1. A reputable physician's sole listing will likely NOT be in a Bulgarian language newspaper in Skokie, Illinois.

2. A reputable physician generally will NOT be seeing office patients at 6:30 on a Saturday night.

3. A reputable physician will NOT wait for you, alone, in a dark, locked, building with a "CLOSED" sign in the window.

4. A reputable physician will NOT let you knock for a while before letting you in himself.

5. A reputable physician will NOT stick toothpicks in your chest.

6. A reputable physician will NOT give you a bottle of pills labeled "Prosperous Farmer" that expired in 2002 (or anything called that, no matter when it expired!)

7. A reputable physician will ALWAYS have some sort of office paperwork.

8. A reputable physician will NOT jump into his car and try to drive away when you return for a follow-up visit.If your physician does this, and you paid $150 cash for it, then you must have been seeing this guy.

Wednesday, November 8, 2017

The other night, around 1:00, I took a call from the emergency room. One of Dr. Brain's patients was being admitted for a seizure and I was covering for the evening. I discussed the case with the ER physician and went back to bed.

The next day I'm seeing a patient in the office, when Mary interrupts me for a hospital call. So I pick up the phone.

Dr. Grumpy: "This is Dr. Grumpy."

Dr. Newgrad: "Hi! This is Dave Newgrad, the hospitalist seeing Rosanna Shakin. I have her ready to go, but you haven't been by to see her."

Dr. Grumpy: "I thought she was Dr. Brain's patient."

Dr. Newgrad: "She is, and he's been by and seen her and cleared her to go home. But I need you to come by."

Monday, November 6, 2017

From around the world, Dr. Grumpy's crack team of reporters brings you the stories that impact your lives.

DATELINE: Pennsylvania, USA

Mr. Steven Rago, who was out on bail for simple assault, went to court to pay his fees.

While there he noticed another person, also waiting in line to pay charges, had set his wallet on the counter. Mr. Rago quickly pocketed it. A few minutes later he used the stolen money to pay his own fees.

The entire episode was caught on camera, and Mr. Rago's bail was rescinded due to the new charges.

DATELINE: Osnabrueck, Germany

A man in a movie theater had difficulty opening the bottle of beer he'd purchased for the show. Rather than leaving the flick to use the church key at the concessions counter, he innovatively tried to pop it open with something in his pocket.

In this case, a pepper-spray canister.

The pepper cartridge exploded, flooding the theater with the noxious stuff and causing the evacuation of 200 tearing moviegoers. The cinema's manager called the police, and was able to get the theater's air cleared after about 30 minutes.

No word as to whether he got the beer open.

DATELINE: Bretten, Germany.

An 81 year old man working around his house called the police bomb squad when he discovered what appeared to be an unexploded WW2 bomb in his garden.

Responding officers identified the explosive as actually being a "particularly large" zucchini.

Monday, October 9, 2017

Mr. Plan: "Hi, sorry to call you after hours, but I need to see a neurologist and was wondering if you take Sick & Tired HMO."

Dr. Grumpy: "No, I'm sorry, I don't have a contract with them. You might try Dr. Brain, I believe he does."

Mr. Plan: "But I really wanted to see you. Can't you make an exception and take Sick & Tired just for my case?"

Dr. Grumpy: "I can't do that, and they don't allow it. I mean, you could pay cash to see me, but even then they won't pay for any tests or medications I might order. So you're best off just seeing someone in the plan."

Mr. Plan: "You can't send them a letter saying you're making an exception in my case, and that you promise not to see anyone else on their plan again?"

Friday, September 22, 2017

Back in medical school, me and my roommate (Enzyme) had a classmate named Cheetah.

Cheetah lived in our apartment building, and had this phobia of being locked out of her car. Hey, we all have our issues, I get that.

Anyway, Cheetah decided she could trust us (bad mistake), so gave us an extra key to her car. That way, if she did get locked out, she could come get it from us.

So, over the next 4 years, every now and then we'd go out and move her car at night. We didn't actually take it anywhere. Just moved it a few spaces over... or into the opposite row... not very far away, but enough to make her come out and say "huh?"

We did this maybe 2-3 times a month. We'd only hear about it in passing, usually her mumbling about how tired (or drunk) she must have been when she'd gotten home the previous night.

This went on for 4 years. She asked for her key back the day after graduation, never once having been locked out of her car.

Wednesday, September 20, 2017

Monday, September 18, 2017

Due to her hypercompetitive nature, Marie beat both her brothers to be the first with a driver's license.

Since my wife and I need our cars for work, we decided to get one for the kids. We picked-out the closest street-legal thing there is to a tank: an ancient Toyota 4Runner with 290,000 miles on it.

"Marie, are you sure this is the way to school?"

Up until recently Mrs. Grumpy or I have always ridden with her, but now school has started. It was up to Marie to drive herself and the boys to school.

In other words, she was flying solo.

She made both boys sit in the back so they wouldn't distract her.

Of course, Mrs. Grumpy and I were still worried. We decided I'd follow behind them for a few minutes, to make sure everything went fine. Marie (and especially her brothers) were okay with this.

Off we went. Fortunately, Wingnut High School is only 3 miles away. Traffic was light. What could possibly go wrong?

About 2/3 of the way there, one of the boys texted me that the 4Runner was making a funny noise.

At the same time, I noticed smoke had begun pouring out from under its hood.

"Hey, do you mind if I smoke?"

Marie soldiered on. Not stopping, continuing to school. There was no way she couldn't have noticed there was something horribly wrong. Her brothers' texts to me became increasing frantic that she wouldn't stop the car, wasn't going to pull over, AND HOLY FUCK DAD WE'RE GOING TO DIE!

Eventually, smoking away, she pulled into the school parking lot and found a space. Even with all this going on she carefully pulled in & out of it twice and stuck her head out to make sure she was right between the lines. She didn't seem to notice that everyone in the lot was either running away or taking pictures with their phone.

Except for her brothers, who'd bailed out at a stop sign 2 blocks earlier and were walking.

Then, leaving the engine running, she got out and calmly walked over to my car, signaling me to roll down the window. With remarkable aplomb she said "Dad, what do you do when the car is on fire? They didn't cover that in driving school."

I ran over and turned off the car (fortunately, nothing too horrible turned out to be wrong with it).

A security guard appeared out of nowhere with a fire extinguisher and began randomly spraying stuff.

The boys may need therapy.

Marie, upon being reassured that all would be fine, got her backpack, rolled her eyes at her brothers trudging down the road, and headed off to class.

Saturday, September 16, 2017

As always, any of you who see something horribly tasteless, useless, bizarre, or otherwise notable, please feel free to send it to me for this year's edition. I can't guarantee I'll use every entry, but will appreciate all of them!

Thursday, September 7, 2017

Today I'd like to feature a quote from a friend, that really struck me as spot-on.

He and I were talking about the shitty reviews people leave on rate-a-doc sites, and he said:

"You know, it's really too bad that people get their pre-conceptions of something as important as their medical care from places like Google and Yelp. It's like getting your wine selection from a drunk passed-out on MD-20/20 lying next to the railroad tracks."

Friday, August 25, 2017

The U.S.S. Benevolence was a full-sized hospital at sea. She had 802 beds, many operating rooms, and the most up-to-date X-ray and lab equipment upon her completion in May, 1945.

She sailed to the Pacific, serving in the closing months of World War II. The casualties of the island-hopping strategy were terrible, and she took care of many as the allies closed in on the Japanese home islands.

At the Japanese surrender she was anchored in Tokyo bay, hidden behind the American and British battleships. Although hospitals don't get the glory that fighting ships do, they're still an indispensable part of any naval force.

After the big ships were gone, the Benevolence got down to work. 1,520 allied prisoners-of-war were released to her care, with her crew nursing them back to health so they could go home. She stayed in Japan until late November, 1945, doing this vital work.

The next month she sailed for San Francisco, bringing those too wounded to leave their beds back to the U.S. for further care. She spent early 1946 running back-and-forth between there and Pearl Harbor, transporting more injured home as they were brought in.

Later that year the atomic bomb testing was planned for Bikini atoll, and the Benevolence was selected to provide medical care for the operation. She served in this capacity through the entire project, and was then sent to provide hospital services in Tsingtau, China, anchoring there in October, 1946.

In 1947 she returned home and went into reserve, but was recommissioned and modernized in 1950 to serve in the Korean war.

On August 25, 1950, she was running sea trials off San Francisco before being sent overseas. She was 4 miles west of the Golden Gate Bridge, returning to harbor in a heavy fog.

A freighter, the S.S. Mary Luckenbach, was also blundering through the haze that afternoon, and just after 5:00 the two collided.

The Luckenbach was the less damaged, and anchored nearby to assess what had happened. Due to the fog her crew were initially unaware that the Benevolence was sinking rapidly, but as distress signals came in they manned their own lifeboats to go help. They saved 85 lives in the growing darkness.

The Benevolence was completely gone in just 15-20 minutes.

A makeshift rescue armada raced to the scene as night fell. Coast Guard ships, fishing boats, tugboats, pleasure craft, and merchant ships slowly moving through the murk, listening for voices, shining searchlights, and sending their own lifeboats back and forth to get swimmers. With the tide going out some survivors were miraculously found 12 miles west of the sinking, up to 6 hours later. One was floating on a wooden box of blood plasma.

As they returned to port almost every ambulance in the bay area was on the scene, taking them to hospitals and returning for more.

When it was all over 505 had survived and 23 were lost.

Both captains were faulted for excessive speed in the fog. The new radar technology on the Benevolence had somehow not seen the Luckenbach, and the Luckenbach's own set was malfunctioning and was turned off at the time.

When the sun came up and the fog cleared the next morning, the ocean off Golden Gate had an eerie sight: The 71 foot-wide Benevolence, lying on her side in 75 feet of water, with her red cross insignia clearly visible beneath the waves.

The navy surveyed the wreck for several months before deciding she was beyond salvage. She couldn't be left in the center of a busy shipping lane indefinitely, either.

In late 1951 the Benevolence was completely destroyed in a series of 3 controlled explosions to clear the area.

To this day she remains sadly forgotten, with no memorial to remember those lost that afternoon.

Wednesday, August 23, 2017

“Train wreck,” for the uninitiated, is medical slang for a patient with EVERYTHING wrong.

Example:
“Mr. Smith in the ICU, room 17, is a train wreck. He has metastatic
cancer and advanced renal disease. He was getting dialysis yesterday when he suffered a heart attack
and then went into respiratory failure. He’s on a ventilator now, and
has developed sepsis.”

Anyway

One day back in residency we were doing our usual morning rounds, presenting cases to the attending. My friend Zack was telling him about a guy he'd admitted the previous night.

Zack: “Okay, the next one, in ICU room 7, is a train wreck. He…”

Dr. Proper: “NEVER SAY THINGS LIKE THAT! Patients are people, and I don’t
want to hear slang! Present the case to me in medical terms."

Zack: “I'm sorry, but I mean…"

Dr. Proper: “STOP! Let’s try this again. Why is the man in room 7 in the hospital?”

Thursday, August 17, 2017

I was doing night admissions, and one was an elderly lady who'd come in for a hip fracture. The ER doctor told me the ortho surgery resident had already seen her, but there was nothing in the chart to tell me what the plans were.

So I called the ortho resident to touch base.

Dr. Dudebro: "Ortho, returning a page."

Me: "Hey, I'm the medicine resident admitting Mrs. Hip. You evaluated her in ER a few minutes ago?"

Dr. Dudebro: "Oh yeah, with a broken hip! What's up?"

Me: "What's the plan for her?"

Dr. Dudebro: "Uh...she needs surgery."

Me: "Right, but what's your plan? When are you planning to take her?"

Dr. Dudebro: "Uh...I don't know. She needs surgery."

Me: "Okay, but she's on Coumadin and is therapeutic. Are you taking her to OR tonight, and I need to reverse her ASAP? Or is this less urgent, and I can just give her vitamin K and manage her pain until you're ready for her?"

Friday, August 11, 2017

The unidentified ursid, who's still on the loose, smashed a window and climbed in. From there it released the parking brake and went rolling down the street.

During its brief ride the bear drove over some utility boxes before finally going into a yard and hitting a mailbox. The homeowner, Mr. Ron Cornelius, was woken by the noise and called police. When asked about the early hour, Mr. Cornelius said "Usually, I don’t get up at 5 o’clock unless there is a bear driving a car down the street."

Apparently unhappy about its short ride, the bear destroyed the interior of the vehicle. It pulled the steering wheel off the shaft, ripped the radio out, and broke the back window.

Originally it was thought to have been the work of human vandals, but the bear's involvement was confirmed by the extensive degree of damage wrought and, more importantly, a large pile of bear shit that had been left inside the car.

So there you have it: Bears do shit in the woods, but in a pinch will use a Subaru.

Welcome to my whining!

This blog is entirely for entertainment purposes. All posts about patients may be fictional, or be my experience, or were submitted by a reader, or any combination of the above. Factual statements may or may not be accurate.

Singing Foo!

Have Dr. Grumpy delivered automatically to your Kindle for only 99 cents a month! Sign up here!

Dr. Grumpy is for hire! Need an article written (humorous, medical, or otherwise) or want to commission a genuine Grumpy piece for your newspaper/magazine/toilet paper roll? Contact me to discuss subjects. You can reach me at the email address below.

Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.